Caselaws: Group Personal Accident Insurance Insurance Claim rejected – Murder does not amount to death by accident March 9, 2018 admin 2269 Views 0 Comments Group Janata Personal Accident Insurance Policy, INSURANCE OMBUDSMAN GUWAHATI OMBUDSMAN CENTRE Complaint No. 11-G2-025/13-14 Mrs. Saraswati Dey – Vs – The National Insurance Co. Ltd Insurance Ombudsman Date Read more
Caselaws: Group Personal Accident Insurance Post mortem and FIR report not necessary in every accidental insurance claim March 6, 2018 admin 10496 Views 1 Comment Group Personal Accident, INSURANCE OMBUDSMAN, Master Group PA Policy, Royal Sundaram Complaint No. I.O.(HYD) G -11.38.0098 / 2017-18 Mrs. K. Rama Poorna VS. Royal Sundaram Alliance Ins. Company Ltd. Award No. Read more
Caselaws: Group Personal Accident Insurance Insurance Claim cannot be rejected due to non submission of postmortem report March 1, 2018 admin 1824 Views 0 Comments INSURANCE OMBUDSMAN Case No: CHD-G-049-1516-0640 In the matter of Mr Sonu Kumar Vs New India Assurance Company Ltd Insurance Ombudsman Date of Read more
Pre-existing Diseases Insured cannot be held responsible for suppression of material fact – Insurance Ombudsman February 27, 2018 admin 1895 Views 0 Comments health insurance claim, INSURANCE OMBUDSMAN, Mediclaim, suppression of material fact Case no. CHD-G-049-1617-0569 In the matter of Mrs. Hardish Sandhu Vs. New India Assurance Company Ltd. Insurance Ombudsman Date of Read more
Group Mediclaim Insurance Ombudsman rejects insurance claim for unjustified surgeons fees February 27, 2018 admin 1507 Views 0 Comments Complaint No. I.O.(HYD) G -11.51.0074 / 2017-18 Mr. K.V. Subrahmanyam VS. United India Ins. Company Ltd. Award No. I.O. (HYD)/A/GI/0002/ Read more
Caselaws: Group Personal Accident Insurance SBI General Insurance directed to pay Personal Accident claim to victim February 26, 2018 admin 1421 Views 0 Comments Insurance Ombudsman award, train accident death COMPLAINT NO. : KOL-G-040-1718- 0027 Insurance Ombudsman Date of award : 23-06-2017 MRS. ANJALI MANDAL Vs. SBI GENERAL INSURANCE COMPANY Read more
Group Mediclaim Active line of treatment must for admission of claim under health insurance February 26, 2018 admin 5634 Views 0 Comments Complaint No. I.O.(HYD) G -11.49.0099 / 2017-18 Mr. C. Sundaraiah VS. The New India Assurance Company Ltd. Award No. I.O. Read more
Group Mediclaim Insurance Ombudsman allows mediclaim for pre-existing disease February 26, 2018 admin 1298 Views 0 Comments Floater Mediclaim Policy, Indian Health Organization(IHO), Insurance Ombudsman award Complaint No. I.O.(HYD) G -11.48.0096 / 2017-18 Mr. Ch. Srinivasa Murthy VS. National Insurance Company Ltd. Award No. I.O. (HYD)/A/GI/0022/ Read more
Group Mediclaim Insurance Ombudsman disallows Cataract Surgery claim for multifocal lens February 24, 2018 admin 4424 Views 0 Comments Cataract Surgery claim for multifocal lens, Indian Bank’s Association, Insurance Ombudsman award, Tailor-made Group Mediclaim Policy Complaint No. I.O.(HYD) G -11.51.0100 / 2017-18 Mr. P. Satyanarayana VS. United India Ins. Company Ltd. Award No. I.O. (HYD)/A/GI/0013/ Read more
Group Mediclaim Insurance Ombudsman rejects claim for Ayush treatment undergone in non recognised Govt hospital February 22, 2018February 22, 2018 admin 1499 Views 0 Comments Indian Bank’s Association, INSURANCE OMBUDSMAN, Tailor-made Group Mediclaim Policy Complaint No. I.O.(HYD) G -11.51.0012 / 2017-18 Mr. B. Krishna Reddy VS. United India Ins. Company Ltd. Award No. I.O. Read more